TITLE:
Staged Surgery for Giant Fecaloma Complicating Idiopathic Megacolon
AUTHORS:
Boyodi Tchangai, Fousseni Alassani, Mazamesso Tchaou, Komla Attipou
KEYWORDS:
Giant Fecaloma, Idiopathic Megacolon, Sigmoidectomy, CT Scan
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.6 No.12,
December
21,
2016
ABSTRACT: Fecalomas
that need surgical management are uncommon. We report a rare case of giant
fecaloma in a 22 years old female, with a history of constipation since
childhood and an abdominal mass. Abdomen CT scan revealed a giant fecaloma
filling sigmoid lumen without signs of ischemia or either complications. Laparotomy
and fecaloma extraction trough colotomy was undertaken after failure of
conservative measures and endoscopic removal attempt. Hirschsprung disease
having been ruled out, sigmoidectomy was performed for idiopathic megacolon.
Post operative course was uneventful with good functional outcomes.